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DR. MATTHEW TIMMINS STAINBROOK DO
NPI 1699714030
Internal Medicine - Nephrology in Du Bois, PA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.04/100
CMS Quality Rating
190 W PARK AVE, STE. 6, DU BOIS, PA 15801(814) 371-7590(814) 371-7579 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Timmins Stainbrook Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW TIMMINS STAINBROOK DO (NPI 1699714030) is an individual nephrology provider in Du Bois, Pennsylvania, licensed in Pennsylvania (OS009810L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1995).

NPPES Registry Identity

NPI1699714030
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MATTHEW TIMMINS STAINBROOKCredential: DO
Location Address190 W PARK AVE, STE. 6Du Bois, PA 15801-2277
Mailing Address190 W Park Ave, Ste. 6Du Bois, PA 15801-2277 · (814) 371-7590 · Fax (814) 371-7579
Phone(814) 371-7590
Fax(814) 371-7579
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1995
Enumeration DateJune 4, 2006
Last NPPES UpdateNovember 7, 2007
✔ NPI 1699714030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · OS009810L
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
190 W PARK AVE, Du Bois, PA 15801
Open in Google Maps ↗

Other Identifiers 8

Other1741708PA · Highmark Blue Shield
Other704495Upmc Health Plan
Medicaid001972729002PA
Medicare PIN07304PA
Other180789Unison Health Plan
Other7239118Aetna
Other1548142Gateway Health Plan
Medicare UPINH18256PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Timmins Stainbrook Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214967785
PECOS Enrollment IDI20050815000500
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
945 services562 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
627 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
393 services80 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
251 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
109 services107 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.33
Improvement Activities40
Cost69.03

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%20 patients5/55-star benchmark: 87%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
96%25 patients4/55-star benchmark: 99%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%38 patients5/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%33 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 1,366 patients
Patients screened: 81% · 1,366 patients
100%204 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,310 patients
Patients totalRate: 0% · 1,310 patients
0%1,310 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STANLEY LANG MD
Family Medicine
190 W PARK AVE, SUITE 7
DU BOIS, PA 15801
Clearfield County (814) 375-1222
DR. NATHANIEL WILLIAM COLE D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
190 W PARK AVE, SUITE 3
DU BOIS, PA 15801
Clearfield County (814) 375-1083
MR. JAMES SAMUEL MCLAUGHLIN LCSW
Social Worker (Clinical)
190 W PARK AVE, SUITE 8
DU BOIS, PA 15801
Clearfield County (814) 375-6817
DUBOIS REGIONAL MEDICAL CENTER
Family Medicine
190 W PARK AVE, SUITE 7
DU BOIS, PA 15801
Clearfield County (814) 375-1222
ROBYN LYN CORBY CRNP, APRN, CNOR
Nurse Practitioner (Women's Health)
190 W PARK AVE
DU BOIS, PA 15801
Clearfield County (814) 371-1900
MRS. KRISTA LEIGH COMPTON LCSW
Social Worker
190 W PARK AVE, SUITE 8
DU BOIS, PA 15801
Clearfield County (814) 943-8164
DU BOIS NEPHROLOGY ASSOCIATES, PC
Internal Medicine (Nephrology)
190 W PARK AVE
DU BOIS, PA 15801
Clearfield County (814) 371-7590
PENN HIGHLANDS LIFE'S JOURNEY
Obstetrics & Gynecology
190 W PARK AVE
DU BOIS, PA 15801
Clearfield County (814) 371-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Stainbrook's NPI number?

The NPI number for Matthew Stainbrook is 1699714030. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Matthew Stainbrook located?

Matthew Stainbrook practices at 190 W Park Ave Ste. 6, Du Bois, PA 15801. The listed phone number is (814) 371-7590.

What is Matthew Stainbrook's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Matthew Stainbrook enrolled in Medicare?

Yes. Matthew Stainbrook is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Stainbrook accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Matthew Stainbrook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Stainbrook affiliated with any hospitals?

According to CMS data, Matthew Stainbrook is affiliated with Penn Highlands Dubois, Punxsutawney Area Hospital, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Matthew Stainbrook was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.